Dishman S 311 West Coast Grocery - Sign
(THIS IS NQTA PERMIt)
BUILDING PERNIIT APPL1CAT10N WORKSHEET
PLEASE PRtNT ANl7 G4MPLETE OhfLY ThiOSE PARTS OF THE FORhA YOD UIVDERSTAND
COMPLETE Ihl INK
(Please relurrt thls origirtat,and yvur 6uilding plens io the QepBrtmenl of Building and SSietY)
SHADiED i4AEAS ARE FOR DEPARTMENTAL L1SE -
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West Caast Grocery
PraJM AdtlreBe [SfreW Nam98 IYtifrl3i~r), - - - ~p
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S. 311_ Di6hman--Mica Rd. Spokane 99206
APPIIcBnC
West Caast Grocery/Price Plus _ S. 311 Dishman-Mica 1td,
city sta~e ' z+v Phane -
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Spokane _ WA 99206
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CqntraptarlAgent Ikddre=
Tri-State Sign Cv., Inc. N 619 Napa _
_C,ityr ^st~re Zi p Phar~ ,
Spnkane ~ WA _ $9202_ 535-7724
~nud Ocense,NumDer jRequiredr Buslna9s Phart$
Orkyu Vigesaa TR~ISTS*257Q6 535-7724
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DEPARTMENTAL REVtEW
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Approved Appr~al Mold
' Envlronmental Health Applicatlon 0
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❑ w »ot Co~lege
Room Z00 L
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Plenning/Zonine L L8 d 6
N 721 Jetferson
Enplneero
N 811 Jeftereon
Utllltles
❑ N 811 Jetferson
n Revlew/Fire Prsvent{on
N 811 Jeiferson
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Other (SEPA/CNlteal MeteMailete)
a - ❑ ~ Fest Traclc/Speelal_inepertlon-lnformellon
Pno)ect Aepresentetlve Phone
Adcireas
t certNy that I have examined thls application and' state, that the Intormatlon conteined in N an0 submitted
by me or my egent to complle aeld applicatlon le true and correct
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